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Entry Form

BUDGET RENT-A-CAR
MOUNTAIN BIKES ON SNOW

SUNDAY 4 JULY 2010
11 AM
CORONET PEAK
$20 ENTRY FEE
*Contact Name:
*E-mail:
*Date of Birth:
*Age on Event Day:
*Mailing Address:
Landline Number:
*Mobile Number:
*Name of Entry:
*Category: Male
Female
Junior (16yrs or under)
Snow Scoot Competitive
Snow Scoot Social
*Ability Level Expert
Advanced
Intermediate
APPLICATIONS WONT BE ACCEPTED UNTIL PAYMENT HAS BEEN RECEIVED

Please make cheques payable to American Express Queenstown Winter Festival. and send to: Mountain Bikes On Snow, American Express Queenstown Winter Festival, PO Box 1975, Queenstown.

If paying by direct credit please ensure you write your full name and the words “mountain bike” as a reference. Account number is BNZ 02-0948-0055516-00
*Please tick to confirm you have read and understood the American Express Queenstown Winter Festival's conditions for the Mountain Bikes On Snow
*Please tick to confirm you have read and understood the American Express Queenstown Winter Festival's Mountain Waiver
*required field